# BIOSERENITY DT INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SleepMed
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003129826
- **Authorized official:** STEVEN RUSSELL (CFO)
- **Authorized official phone:** (770) 330-7836

## Contact information

- **Practice address:** 13662 OFFICE PL, SUITE 104, WOODBRIDGE, VA 22192-4217
- **Practice address phone:** (703) 580-4679
- **Mailing address:** 200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
- **Mailing address phone:** (978) 536-7400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/21/2010
- **Last updated:** 11/04/2021